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COMPLIANCE INFO_2013 - 2017
EnvironmentalHealth
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2300 - Underground Storage Tank Program
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PR0526212
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COMPLIANCE INFO_2013 - 2017
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Last modified
10/26/2023 3:23:19 PM
Creation date
9/5/2018 11:28:03 AM
Metadata
Fields
Template:
EHD - Public
ProgramCode
2300 - Underground Storage Tank Program
File Section
COMPLIANCE INFO_2013 - 2017
FileName_PostFix
2013 - 2017
RECORD_ID
PR0526212
PE
2351
FACILITY_ID
FA0017737
FACILITY_NAME
CHEVRON STATION #307709*
STREET_NUMBER
10858
STREET_NAME
TRINITY
STREET_TYPE
PKWY
City
STOCKTON
Zip
95219
APN
06602015
CURRENT_STATUS
01
SITE_LOCATION
10858 TRINITY PKWY
P_LOCATION
01
P_DISTRICT
003
QC Status
Approved
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EHD - Public
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Jun.11, 2014 9:31AM <br />UST Installation / Retrofitting <br />No. 4257 P. 4 <br />Candidate ID, ICC00014654 <br />Name: BnANDON SMITH Date, 5/30/2014 <br />Address: r <br />RECEIVED <br />JUN 112014 <br />EXAMINATION RESULT: PASS ENVIRONMENTAL HEALTH <br />DEPARTMENT <br />Congratulations! You have passed the above named examination, Your wallet card will be forwarded to <br />you by ICC wlthln six weeks from the last day of the month in which you tested. This certificate is current <br />for two years. <br />You may request awall certificate from ICC as well- This certificate will be provided at no cost to you, If <br />you requost It within 80 days of your exam. Only one wall certificate per exam passed will bo provided to <br />you at no charge. For more information on requesting a wall certificate, go to www,locaafe.oMq insneotor. <br />It Is extremely knportaht that you notify Pearson VUE and ICC of any changes In name and/or address to <br />avoid the possibility of your wallet card and/or certificate not being received. Please contact Pearson <br />VUR at 800-275-8301 and ICC at certeYamCDlccsafe.org with changes to your name and address (name <br />changes may require additional documentation). There may be an additional lee if a certiilcatlon is <br />re -issued due to a misspelled name or Incorrect address. <br />The authentrcfty of thfa score report can be validated by fi-Ang Pearson VUE's (Inline Scone ReportAuthenticatlon found at: <br />WWW. Pearson.com/authenticate <br />Dfgftaf embossing c'If(nJnhMs the possibility of un2uthotlzed embossing df COUnt9rpait scot a roports. <br />Regâ–şstratlonNumber 268309146 VaiicraltoirNumber: t6066429 <br />
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